Provider Demographics
NPI:1629099304
Name:ROWE, DAVID F (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:F
Last Name:ROWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DAVID
Other - Middle Name:F
Other - Last Name:ROWE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:114 CANAL ST STE 503
Mailing Address - Street 2:
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-4261
Mailing Address - Country:US
Mailing Address - Phone:912-450-6300
Mailing Address - Fax:912-450-6303
Practice Address - Street 1:25 SHERINGTON DR STE D
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6031
Practice Address - Country:US
Practice Address - Phone:843-310-1055
Practice Address - Fax:843-310-1056
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24875208VP0014X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003122762BMedicaid
SC248752Medicaid
SCI40625Medicare UPIN
NCI40625Medicare UPIN
SCI406256672Medicare PIN
NC2045689Medicare PIN
SCGP1456Medicaid